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Legal & Regulatory News
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Federal Agencies Propose Increase to No Surprises Act Administrative Fees
The proposal comes a month after a Texas federal court ordered the agencies to vacate a separate fee increase, which had raised the administrative fee to $350. The judge ruled such an increase made the process “cost-prohibitive” to some parties, particularly providers.
September 22, 2023
FTC Sues PE-backed Anesthesia Staffing Firm, Saying it Tried to Corner the Market
The FTC’s suit follows recent comments by Lina Khan, the commission’s chairwoman, that her agency would investigate anticompetitive practices among companies acquired by private-equity firms.
September 22, 2023
Frustration Over Surprise Billing Implementation Builds in House Hearing
Rep. Richard Neal, D-Mass., ranking minority member and the law’s author, called the implementation a “disappointment.”
September 21, 2023
Healthcare Industry Divided over Draft Merger Guidelines
The proposed guidelines, released in July, could limit consolidation in all industries, including healthcare.
September 21, 2023
FTC Chair Lina Khan to Crack Down on ‘Below Radar’ Deals
"Below the radar" deals — less than $100 million in value — don't have to be reported to the FTC and have contributed to market consolidation.
September 20, 2023
Medicare Wants to Increase Payments for Heart Rehab; Hospitals See an Opening to Get More
Some members of Congress and health care experts are pushing for a system that would not pay hospital outpatient departments more for identical services that are provided in lower-priced physician offices.
September 19, 2023
Hospitals Urge Congress to Scrap $8B in Cuts as Shutdown Looms
More than 250 hospitals and health systems are urging Congress to halt the $8 billion reduction to Medicaid disproportionate share hospital funding, set to begin Oct. 1.
September 18, 2023
Fight Over Medicare Pay Hinges on Primary Care
The fight over physician payments underscores how Medicare's strict budgeting rules can create unintended consequences
September 18, 2023
CMMI Teases New Behavioral, Maternal Health Models Launching This Year
The CMS agency that tests value-based payment models hopes to announce two new models in behavioral health and maternal health later this year.
September 18, 2023
Oregon Health System Terminates Contract with UnitedHealthcare
Corvallis, OR-based Samaritan Health Services cited slow "processing of requests and claims" that have made it difficult to provide appropriate care to UnitedHealth's members.
September 18, 2023